RT Journal Article
T1 The role of bronchoscopy in the management of patients with severe craniofacial syndromes
A1 Antón-Pacheco Sánchez, Juan Luis
A1 Luna Paredes, María Carmen
A1 Martínez Gimeno, Antonio
A1 García Hernández, María Gloria
A1 Martín de la Vega, Rubén
A1 Romance García, Ana
AB PurposeThe purpose of this study is to assess the incidence of airway anomalies in children with severe craniofacial syndromes and to establish the role of bronchoscopy in the care of these patients.MethodsConsecutive children with craniofacial syndromes, including both bony deformities of the skull and face, in which a bronchoscopy was performed between 1995 and 2010 were retrospectively reviewed.ResultsThirty-six patients (22 boys, 14 girls; mean age, 39 months) were studied. Craniofacial synostosis was present in 21 patients (Crouzen syndrome, 11; Apert syndrome, 7, Pfeiffer syndrome, 3) and craniofacial dysostosis in 15 (Goldenhart syndrome, 8; Treacher Collins syndrome, 7). In 30 patients (83.3%), bronchoscopy was performed because of respiratory symptoms (apneic episodes, 22; respiratory distress, 13; stridor, 6; cyanosis, 1) and, in the remaining 6 (asymptomatic children), during guided tracheal intubation before a surgical procedure. Airway anomalies were found in 69.4% of patients (70% in symptomatic patients). Management consisted of tracheotomy in 13 patients, adenoidectomy/tonsillectomy in 13, glossopexy in 5, antireflux surgery in 3, and supraglottoplasty in 2.ConclusionsAirway anomalies occurred in 70% of children with severe craniofacial syndromes and respiratory symptoms. Bronchoscopy should be performed routinely in this selected group of patients, and the entire airway must be examined. Treatment should be tailored to each individual patient.
PB Elsevier
SN 0022-3468
YR 2012
FD 2012-08-01
LK https://hdl.handle.net/20.500.14352/113611
UL https://hdl.handle.net/20.500.14352/113611
LA eng
NO Antón-Pacheco JL, Luna C, Martinez, A et al.The role of bronchoscopy in the management of patients with severe craniofacial syndromes. Journal of Pediatric Surgery, Volume 47, Issue 8, 1512 - 1515
DS Docta Complutense
RD 15 abr 2025